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Individual

MANHAR J TEJURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
730 N MACOMB ST, STE 429, MONROE, MI 48162-2900
(734) 242-7060
(734) 241-7580
Mailing address
730 N MACOMB ST, STE 429, MONROE, MI 48162-2900
(734) 242-7060
(734) 241-7580

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35043289T
OH
207RC0000X
Cardiovascular Disease Physician
Primary
MT037750
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000146865
ANTHEM BCBS
OH
05
0429370
OH
01
06005298
MEDICARE RAILROAD
MI
01
06005298
MEDICARE RAILROAD
OH
01
0981811
HEALTH PLAN OF MI
MI
05
102968533
MI
01
2316790
CIGNA
OH
01
25014177
UNITED HEALTHCARE
MI
01
25014177
UNITED HEALTHCARE
OH
01
4054389
AETNA
MI
01
4054389
AETNA
OH
01
700E860190
BCBSMI
MI
01
D31195
HEALTH ALLIANCE PLAN
MI
01
P00959707
RRMC
MI
01
PARAMOUNT
01253
OH
Enumeration date
07/28/2005
Last updated
08/08/2012
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